Background. Lung resection represents the main curative treatment modality for lung cancer. These patients present with physical deterioration that has been studied previously using objective variables; however, no previous studies have evaluated the self-perceived physical fitness of these patients. For these reasons, to increase the current knowledge on lung cancer patients’ impairment, the aim of this study was to characterize the self-perceived physical deconditioning of lung cancer patients undergoing lung resection in the short and medium term after surgery. Methods. A longitudinal, observational, prospective cohort study was performed in the Thoracic Surgery Service of the Hospital Virgen de las Nieves (Granada). Symptoms (pain, fatigue, cough and dyspnea) and physical fitness (upper and lower limbs) were assessed before surgery, at discharge and at one month after discharge. Results. Among the total of 88 patients that we included in our study, significant differences were found at discharge in symptoms (p< 0.05) and physical fitness (p< 0.05). One month after surgery, higher levels of pain (p= 0,002) and dyspnea (p= 0.007) were observed, as well as poorer results in the upper (p= 0.023) and lower limbs’ physical fitness, with regard to the initial values. Conclusions. Patients undergoing lung resection present an increase in symptoms and physical fitness deterioration at discharge, which is maintained one month after surgery.
背景：肺切除术是肺癌的主要根治性治疗手段。此类患者常伴有体能衰退，既往研究多采用客观指标进行评估，但尚未有研究探讨患者自我感知的体能状态。为深化对肺癌患者功能受损的认知，本研究旨在探讨肺癌患者肺切除术后短期及中期自我感知的体能衰退特征。方法：在格拉纳达Virgen de las Nieves医院胸外科开展一项纵向观察性前瞻性队列研究。分别在术前、出院时及出院后1个月评估症状（疼痛、疲劳、咳嗽和呼吸困难）与体能状态（上下肢功能）。结果：在纳入研究的88例患者中，出院时症状（p<0.05）与体能指标（p<0.05）均出现显著差异。术后1个月，与基线值相比，患者疼痛（p=0.002）与呼吸困难（p=0.007）程度加剧，上下肢体能测试结果（p=0.023）亦呈现显著下降。结论：接受肺切除术的患者在出院时症状加重且体能衰退，这种状态在术后1个月仍持续存在。
肿瘤(癌症)患者之家